| NPI | 1447754247 |
|---|---|
| Former Name | DAWN RENEE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76095) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13920) |
| 101YM0800X Counselor, Mental Health (Licence: TX 76095) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-03-09 |